Exam (elaborations)

QME exam Latest Updated 2024/2025 Actual Questions and Answers Fully Solved 100% Guaranteed Success.(Graded A+)

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Module
QME

Institution
QME

Time frame in which selected QME must schedule an appointment to see the injured worker - Within 60 days of a request for an appointment (up to 90 days) Term of appointment as QME evaluator - 2 years (LC 139.2) 3 requirements when seeking appointment as QME - (1) Pass the QME competency exam; (...

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Uploaded on August 4, 2024
Number of pages 15
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

Institution QME
Module QME

PatrickKaylian

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QME exam
Time frame in which selected QME must schedule an appointment to see the injured worker -
Within 60 days of a request for an appointment (up to 90 days)

Term of appointment as QME evaluator - 2 years (LC 139.2)

3 requirements when seeking appointment as QME - (1) Pass the QME competency exam;

(2) Complete a 12-hour course in disability eval report writing;

(3) Devote at least 1/3rd of total practice time to providing direct medical treatment (or have served as a
AME on 8+ occasions in past 12 mos prior to application)

2 reasons for termination/suspension of a QME w/o a hearing - (1) Licensing board
suspends/revokes/terminates license to practice

(2) Failure to pay required fee (upon appointment and yearly thereafter)

6 reasons for discipline (suspension/termination) of QMEs after a hearing - (1) Violation of
material statutory or administrative duty;

(2) Failure to follow medical procedures or qualifications;

(3) Failure to comply with the timeframe standards;

(4) Failure to meet licensing/certification requirements;

(5) Preparation of medical-legal evaluations that fail to meet the minimum standards for those reports as
established by the administrative director or the appeals board;

(6) Making material misrepresentations or false statements in an application for appointment or
reappointment as a qualified medical evaluator.

3 types of substantive medical disputes resolved by QMEs - (1) Compensability of the claim;

(2) Permanent disability;

(3) "Catch-all" (temporary disability, work restrictions, new and further disabilities after permanent
disability (detereoration of original injury), compensability of new body part added to claim)

, Definition of *injury* in compensability claims - (1) An injury or disease arising out of
employment;

(2) A *derivative* injury caused by treatment of an injury arising out of employment;

(3) Any reaction to or side effect from preventative health care the employer provides to health care
workers

*Specific injury* - Occurs as the result of a single incident or exposure

*Cumulative injury* - Results from repetitive trauma (mental or physical) over a period of time

2 requirements for a condition to be considered an injury - (1) Cause disability; or

(2) Result in a need for medical treatment

Occupational disease - Disease that in whole or part is caused by work

7 types of excluded injuries - (1) Caused by employee's use of alcohol or illegal controlled
substances;

(2) Intentionally self-inflicted injuries;

(3) Suicide;

(4) Resulting from altercations, in which the injured employee is the *initial physical aggressor*;

(5) Resulting from the employee's commission of a felony, for which the employee has been convicted
(including "wobbly felonies," which are crimes that may be prosecuted as misdemeanors or felonies)

(6) Resulting from off-duty recreational activities, in which participation in the activities does not
constitute part of the employee's work-related duties and the activity is not an expressed or implicit
condition of employment;

(7) Psychiatric injuries claimed after notice of termination/layoff unless certain conditions exist

4 basic conditions to establish a workers' compensation claim - (1) *Injury* (physiological or
psychological harm);

(2) Employment relationship;

(3) Injury caused by the employment (This is also referred to as arising out of employment [AOE].);

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Exam (elaborations)

QME exam Latest Updated 2024/2025 Actual Questions and Answers Fully Solved 100% Guaranteed Success.(Graded A+)

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